Pirolo Joseph M, Yao Jeffrey
Department of Orthopaedic Surgery, Robert A. Chase Hand and Upper Limb Center, Stanford University Medical Center, 450 Broadway Street, M/C 6342, Redwood City, CA 94063, USA.
Hand Clin. 2014 Feb;30(1):77-89. doi: 10.1016/j.hcl.2013.09.001.
Ulnar-sided wrist pain is a common cause of pain and disability, which has long been a diagnostic and therapeutic dilemma for hand surgeons. A thorough understanding of the anatomy, clinical examination, and radiographic evaluation is essential to establish a focused differential diagnosis, with the cause of disability often being multifactorial. Arthroscopy is particularly well suited to both directly visualize and treat multiple causes of ulnar-sided wrist pain, including pathology of the TFCC, UIS, LTIL tears, and hamate arthrosis.
尺侧腕部疼痛是疼痛和功能障碍的常见原因，长期以来一直是手外科医生在诊断和治疗上面临的难题。全面了解解剖结构、临床检查和影像学评估对于建立有针对性的鉴别诊断至关重要，因为功能障碍的原因往往是多因素的。关节镜检查特别适合直接观察和治疗尺侧腕部疼痛的多种原因，包括三角纤维软骨复合体（TFCC）、尺骨撞击综合征（UIS）、月三角骨间韧带（LTIL）撕裂和钩骨关节炎等病变。
